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<br />Summary of Typical Allowable Health and Medical Care Expenses <br />Services of medical professionals <br />Surgery and medical procedures that are <br />necessary, legal, and non-cosmetic <br />Services of medical facilities <br />Hospitalization, long-term care, and in- <br />home nursing services <br />Prescription medicines and insulin, but <br />not nonprescription medicines even if <br />recommended by a doctor <br />Improvements to housing directly related <br />to medical needs (e.g., ramps for a <br />wheelchair, handrails) <br />Medical insurance premiums or the cost <br />of a health maintenance organization <br />(HMO) <br />Medicare Part B and Part D premiums <br />Substance abuse treatment programs <br />Psychiatric treatment <br />Ambulance services and some costs of <br />transportation related to medical <br />expenses. The PHA will use the most <br />current medical mileage rate listed in <br />IRS Publication 502. <br />The cost and care of necessary <br />equipment related to a medical <br />condition (e.g., eyeglasses/lenses, <br />hearing aids, crutches, and artificial <br />teeth) <br />The costs of buying, training, and <br />maintaining a guide dog or other service <br />animal to assist a visually impaired or <br />hearing disabled person, or a person <br />with other physical disabilities. In <br />general, this includes any costs, such as <br />food, grooming, and veterinary care, <br />incurred in maintaining the health and <br />vitality of the service animal so that it <br />may perform its duties. <br />Note: This chart provides a summary of eligible health and medical care expenses <br />only. In all cases, the PHA will consider whether health and medical expenses care <br />expenses claimed by the family are eligible under HUD’s definition. <br /> <br />Families That Qualify for Both Health and Medical Care and Disability Assistance <br />Expenses <br />SAHA Policy <br />This policy applies only to families in which the head, spouse, or cohead is 62 or older or <br />is a person with disabilities. <br />When expenses anticipated by a family could be defined as either health and medical care <br />or disability assistance expenses, SAHA will consider them health and medical care <br />expenses unless it is clear that the expenses are incurred exclusively to enable a person <br />with disabilities to work. <br />EXHIBIT 1